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1.
Wilson DC 《Death education》1982,6(3):205-212
This paper identifies the special characteristics needed by hospices caring for terminally ill children. It is based on a feasibility study conducted in 1979 for a pediatric hospital in New York City. From the analysis of statistical data and confidential interviews with health care professionals in the hospital and in the community, the study concludes that the needs of terminally ill children and their families are not being met currently and that the hospice is as appropriate for children as for adults. Three major differences in emphasis are noted, however. First, support of the family suffering the death of a child is of prime importance, because the grief is devastating and long lasting and because the number of family members affected is usually large. Second, the hospice emphasis on home care is even more imperative for children than for adults as it more significantly benefits both child and family; home care can be facilitated through supplementary care components such as day care. Third, there is a major need for both professional and public education in caring for terminally ill children and their families and in coping with childhood death. The author concludes that further research is needed in all aspects of pediatric terminal care. 相似文献
2.
目的：分析我国临终关怀事业发现的现状及面临的困难。方法：通过文献查阅和分析,获得研究结果,然后提出相应发展措施。结果：我国临终关怀事业发展缓慢,这与认识不足、经费不足、专业人员缺乏等因素有关。结论：加强全民科学生死观教育、加强医护人员的培训,完善有关临终关怀的制度、增加经费投入是发展我国临终关怀事业必要措施。 相似文献
3.
This study examines the effects on nursing home nurses of a two-day training program concerned with nurses and their response to the dying patient. Utilizing the Solomon four-group design, the study investigates whether exposure to information on death and dying (a) results in the acquisition of greater knowledge about death and dying, (b) is accompanied by a more positive attitude toward the elderly, and (c) is accompanied by a change in anxiety about death. Based on t tests and one-way analyses of covariance, the results point up the mixed nature of short-term training programs. It was found that there was a significant increase in the nurses' knowledge about death and dying, there was no change in their attitudes toward the elderly, and there was a significant increase among the nurses in the death anxiety experienced. This is not to suggest that training programs of this sort should not be conducted with nursing home staff. On the one hand such programs provide information useful for job performance. On the other hand they create some sensitization to death, which at the very least could give nurses greater insights into the concerns of the patients and perhaps stimulate empathetic responses. 相似文献
4.
许丽遐 《石家庄职业技术学院学报》2007,19(3):25-27
临终关怀是社会卫生保健体系的基本组成部分。我国目前实施的临终关怀主要倚重医护尤其是护理力量,缺乏医务社会工作者;而临终关怀的哲学体系来源于社会工作的基本原则,其特点决定了医务社会工作的重要性。医务社会工作教育应注重社会学知识和技能、心理学知识和死亡教育,并加强临床实践。 相似文献
5.
Hua-Tsen Hsiao Chiung-Chih Chang Nai-Ching Chen Herng-Chia Chiu Chi-Wei Huang Feng-Ping Lee 《Educational gerontology》2020,46(5):270-283
ABSTRACTFamily caregivers play a critical role in dietary care and the nutritional status of people with dementia. The aim of this study was to investigate the effects of a family care-based dementia dietary educational program (DDEP) on family caregivers’ nutritional knowledge, healthy eating behavior and nutritional status of people with dementia. A total of 57 pairs of participants completed this longitudinal experimental study. Group A received routine care. Group B received the DDEP. Three outcomes were measured at pretest (T1), posttest (T2) and follow-up test (T3). Generalized estimating equations and regression were used to analyze the data. The scores of the caregivers’ nutritional knowledge significantly increased after receiving the DDEP in group B, and this increase was better than in group A. The posttest and follow-up test scores of healthy eating behavior were significantly higher than the pretest scores in both groups. The scores of nutritional status in group B increased from the pretest to the follow-up test, although there was no significant difference between the two groups. Some demographic factors played significant roles in the caregivers’ nutritional knowledge and healthy eating behavior. In sum, the DDEP improved the caregivers’ nutritional knowledge and healthy eating behavior for dementia. The demographic factors of family caregivers should be considered when providing nutritional information to enhance the nutritional status of people with dementia. The DHPDEP should be incorporated into the in-service education and training courses for nurses or dietitians who work with people with dementia. 相似文献
6.
7.
《Early childhood research quarterly》2002,17(1):52-86
Data from the NICHD Study of Early Child Care were used to assess whether regulable features of child-care homes affect children’s development. Child-care homes selected were those in which there were at least two children and the care provider received payment for child care (ns=164 when the study children were 15 months old, 172 at 24 months, and 146 at 36 months). Caregivers who were better educated and had received more recent and higher levels of training provided richer learning environments and warmer and more sensitive caregiving. Caregivers who had more child-centered beliefs about how to handle children also provided higher quality caregiving and more stimulating homes. In addition, when settings were in compliance with recommended age-weighted group size cut-offs, caregivers provided more positive caregiving. Quality of care was not related to caregivers’ age, experience, professionalism, or mental health, or to the number of children enrolled in the child-care home or whether the caregivers’ children were present. Children with more educated and trained caregivers performed better on tests of cognitive and language development. Children who received higher quality care, in homes that were more stimulating, with caregivers who were more attentive, responsive, and emotionally supportive, did better on tests of language and cognitive development and also were rated as being more cooperative. These findings make a case for regulating caregivers’ education and training and for requiring that child-care homes not exceed the recommended age-weighted group size. 相似文献
8.
Dawson EE 《Death education》1981,5(2):107-119
The article focuses on the large and increasing number of older widows who are available for human service work within the hospice movement caring for the dying and the bereaved. The need for preparation for widowhood is cited as one major reason why widows should assist potential widows to prepare more adequately for this eventuality. Widows are portrayed as effective lay counselors in hospice because they have experienced the reality of death and possess an empathetic readiness for work in this human service field. The hospice training program for widows is appealing because it presents learning experiences that are satisfying for the older learner. Numerous therapeutic and educational benefits are available to the older widows who participate in hospice work and training. Widows, therefore, become both the beneficiaries and the benefactors of their service efforts. 相似文献
9.
Brand S 《New scientist (1971)》1981,92(1274):120-121
Most suicide attempts appear to be impulsive and motivated by rage against another person. The author believes that publications of pro-suicide groups like EXIT or Hemlock serve a useful purpose for some terminally ill persons, although hospice care is a better approach for most dying patients. Potential suicides who are suffering from emotional stresses rather than terminal illnesses are best deterred by a personalized approach. 相似文献
10.
Albert Chang M.D. 《Early Childhood Education Journal》1979,6(4):14-17
Conclusion Because so many infants and young children are cared for in family day care homes, these can play a very important role in
the promotion of children's health. Parents and family day care home caregivers should work closely to provide adequate child
health supervision, emergency care, nutrition education, mental health services, and sick care services. Further documentation
of the health-service needs in this area would be useful in indicating where in-service training and health education for
parents and caregivers should be concentrated. Health professionals from both private and public agencies should begin to
direct their efforts on behalf of the many children who are cared for in family day care homes and to utilize these as resources
for health promotion and disease prevention. 相似文献
11.
Paradis LF 《Death education》1984,8(5-6):383-398
As the number of hospice programs in the United States expands, policymakers face a variety of issues concerning the care of the terminally ill. Do hospice programs offer a truly unique approach in caring for the dying? Are hospice services cost effective? Should hospice programs become integrated into the mainstream of medical care service delivery? Based on data from hospice programs in an industrialized Midwestern state, this paper explores the strategies employed by hospice programs to become integrated, the conflicts that have arisen among providers of hospice care, and the impact of hospice program integration on patient care. Results show that as hospice programs become more integrated, they have lost some of the idealism on which they were founded, have altered organizational structures, and have changed certain patient services. However, there is no evidence to suggest that integration of hospice programs into the medical mainstream has decreased the quality of patient care or patient satisfaction for hospice services. 相似文献
12.
完善上海居家高龄失能老人亲属照顾者的社会支持系统 总被引：1，自引：0，他引：1
亲属照护居家高龄失能老人仍是中国现阶段和今后较长时间内的主要照护形式。目前国内关于老年照护的研究集中于老年人本身的照护需求,而对亲属照顾者的照护状况、困难和需求研究不够深入。"高龄体弱老人照顾者需求和心理健康状况"课题组于2010年4—10月对上海市720名户籍城市居家高龄失能老人及其主要亲属照顾者所进行的抽样调查表明,目前上海居家高龄失能老人主要亲属照顾者的照护呈现女性居多、中老年退休者为主、经济条件适中、照护时间较长和照护责任心强的特点。照顾者在照顾过程中面对生理、心理和经济的压力虽然能够积极采取自我解压的方式,并从家庭获得支持,但同时对政府和社会提供支持也提出了迫切需求。为此,需要通过健全社会医疗保障体系,强化小区为基础的居家服务,加强照护知识技能培训,组建照顾者互助小组,完善以亲属照顾者需求为中心的社会支持系统。 相似文献
13.
Debra G. Morgan Julie G. Kosteniuk Megan E. O’Connell Vanina Dal Bello-Haas Norma J. Stewart Chandima Karunanayake 《Educational gerontology》2013,39(2):120-135
ABSTRACTAn understanding of the specific dementia learning needs of home care staff is needed to plan relevant continuing education (CE) programs and supports. The study’s objective was to examine frequency and perceived competence in performing 20 dementia-related work activities, and identify CE priorities among home care staff. A cross-sectional survey of all home care staff in a primarily rural health region was used to gather data. Of 111 eligible staff, 82 participated (41 nursing aides, 41 nurses/case managers). To explore the relationship between activity frequency (F) and competence (C), the proportion of nurses and aides in four quadrants for each activity was examined: (1) low F-low C, (2) low F-high C, (3) high F-low C, and (4) high F-high C. Nurses/case managers were significantly more likely than aides to regularly perform 11 activities and to report high competence in 9 activities (p < .05); aides were more likely to assist with two activities (personal care and daily living activities). Thus, nurses/case managers performed a broader range of activities and reported higher competence overall. The top CE topic for both groups was recognizing differences between dementia subtypes, but rankings for most activities varied by group. Aides’ CE priorities indicated a desire to develop competence in low frequency-low competence activities, suggesting an expanded role in supporting dementia patients and their families. Nurses’ CE priority topics were in the high F-high C quadrant, indicating a need to further develop competence in these activities. Findings have implications for planning CE programming for home care providers. 相似文献
14.
《Early childhood research quarterly》1994,9(2):207-222
The relationship between parent-caregiver communication and child care quality was investigated in 12 child care centers representing different types of sponsorship. Perceptions of one-way (school to home communication), two-way (school and home communication exchanges), and three-way (exchanges between school, home, and a community resource) communication patterns were determined by questionnaire responses of 201 parents and 49 caregivers in 4 each of subsidized, contracted subsidized, and nonsubsidized child care settings. Compared to parents, caregivers rated all forms of parent-caregiver communication as more frequently occurring and as more important. Greater frequency of communication was associated with increased importance of communication for each mode. Frequency of parentcaregiver communication and quality of child care were positively correlated. Nonsubsidized private profit centers were of lower quality and respondents reported less frequent parent-caregiver communications than in contracted subsidized and subsidized programs. 相似文献
15.
随着我国老龄化程度的不断加快,临终关怀日益受到社会关注。作为医学院校的教师必须重视对医学生进行临终关怀教育。为提高医学生临终关怀教育的实际效果,通过临终关怀典型案例的教学方式,让医学生感受临终患者的心理状态,了解其情感需求和医疗服务要求,从而提升临终关怀教育教学的质量。 相似文献
16.
THE ROLE OF EDUCATION AND HEALTH CARE DELIVERY STRUCTURE IN QUALITY OF NURSING CARE FOR MENTALLY ILL PATIENTS IN NURSING HOMES 总被引：1，自引：1，他引：0
Richard J. Caston 《Educational gerontology》2013,39(5-6):425-433
A study of nursing home staff found that nurses generally are not knowledgeable about psychiatric symptoms and do not seek out psychiatric intervention for their patients who need it. Even when nurses are knowledgeable about psychiatric symptoms and have had special training in mental health care it is found that they nonetheless rarely seek psychiatric intervention for their patients. The problem to be redressed lies not merely in increased education alone. It also resides in the organizational character of health care delivery in nursing homes, which makes adequate nursing response to mental illnesses impossible. 相似文献
17.
Egerton Clarke 《Educational gerontology》2013,39(2):97-116
Much research examines the professional nursing practices of traditional and modern caregivers, but it remains unclear whether the delivery of extra-required services is diminished as the caregiver moves from traditional to modern community. Building on the classical works of sociologists Ferdinand Tonnies, Max Weber, and Emile Durkheim, this paper discusses traditional and modern caregiver practices to see whether extra-required services are currently being offered in city-based care settings. Using data from a purposive sample of 21 registered nurses and nursing assistants at six long-term care centers in the cities of Toronto, Ontario; Miami, Florida; and New York, New York, this paper examines registered nurses' (RNs') traditional and modern caregiving practices. Findings suggest that extra-required services are more richly provided in traditional communities than in urban city settings. Differences exist in both the form and extent of delivering extra caregiving services in the two types of settings. Implications of these finding are discussed relative to recruitment of foreign nurses. 相似文献
18.
The relationship between risk factors and Child Protective Services (CPS) outcomes in families who participate in home visiting programs to prevent abuse and neglect and who are reported to CPS is largely unknown. We examined the relationship between parental risk factors and the substantiation status and number of CPS reports in families in a statewide prevention program. We reviewed CPS reports from 2006 to 2008 for families in Connecticut's child abuse prevention program. Six risk factors (histories of CPS, domestic violence [DV], mental health, sexual abuse, substance abuse, and criminal involvement) and the number of caregivers were abstracted to create risk scores for each family member. Maltreatment type, substantiation, and number of reports were recorded. Odds ratios were calculated. Of 1,125 families, 171 (15.6%) had at least one CPS report, and reports of 131 families were available for review. Families with a substantiated (25.2%) versus unsubstantiated (74.8%) first report had a high number of paternal risk factors (OR = 6.13, 95% CI [1.89, 20.00]) and were more likely to have a history of maternal DV (OR = 8.47, 95% CI [2.96, 24.39]), paternal DV (OR = 11.23, 95% CI [3.33, 38.46]), and maternal criminal history (OR = 4.55; 95% CI [1.32, 15.60]). Families with >1 report (34.4%) versus 1 report (65.6%) were more likely to have >3 caregivers, but this was not statistically significant (OR = 2.53, 95% CI [0.98, 6.54]). In a prevention program for first-time families, DV, paternal risk, maternal criminal history, and an increased number of caregivers were associated with maltreatment outcomes. Targeting parental violence may impact child abuse prevention. 相似文献
19.
The purpose of the study was to understand the role of culture in English as a Second Language (ESL) nurses’ clinical communication experiences in the United States, and how these experiences demonstrate the need for continuing education for ESL nurses. Five Taiwanese nurses who worked in U.S. health care contexts were recruited in the study. Data were collected through focus group and individual interviews, and data were analyzed using narrative and thematic analyses. Findings indicate that cultural differences in clinical settings complicated ESL nurses’ communication experiences, including linguistic and cultural diversity, the independent role of nurses, patient-centered care, and choice of speech registers. Findings further show that comprehensive on-the-job, vocational training in English for Nursing Purposes (ENP) is essential in order to assist ESL nurses’ transit between home and host country cultures. In other words, familiarising nurses with patient-centered care and different discourse patterns, developing critical thinking skills, and enhancing cultural competence should be emphasised in ESL nurses’ continuing education. 相似文献
20.
In Germany, almost 70 000 children are living in foster families (Statistisches Bundesamt, 2016). Many foster children show mental health problems as they were exposed to an accumulation of risk factors. Hence, foster parents are often faced with challenging parenting situations. The current study focuses on the predictors of foster parents’ stress and examines longitudinally whether parenting stress is associated with foster parents’ sensitivity. The sample consisted of 55 children (aged from 1 to 6 years) and their foster caregivers. Foster parents’ sensitivity was observed during home visits. Caregiver reports were used to assess parenting stress (Parenting Stress Index) as well as foster children’s externalizing behavior problems (Child Behavior Checklist). For main caregivers’ stress at the beginning of placement, regression analyses revealed both, foster children’s externalizing problems as well as partners’ stress as predictive. For main caregivers’ stress one year after, only initial parenting stress and partners’ stress were predictive. Foster parents’ sensitivity was correlated with their parenting stress one year after placement. Regression analyses revealed no longitudinal effects of initial parenting stress on overall sensitivity. However, supportive presence was predicted by initial supportive presence and by the interaction between parenting stress and children’s externalizing problems at placement. The findings highlight the role of the partner in experiencing parenting stress when taking care of a foster child. Furthermore, they emphasize that foster parents who care for children with behavior problems need adequate support that can buffer initial parenting stress and thereby promote sensitive caregiving. 相似文献